Ms drg - Study guides, Class notes & Summaries

The sum of all MS-DRG weights, divided by the total number of Medicare discharges for the same time period. - ️️case mix index (CMI) Complications and comorbid conditions defined by Medicare to have a higher severity of illness impact on a patient. - ️️major complication/comorbid condition (MCC) A numeric factor defined by Medicare that considers the geographic location of hospitals. This factor is used in the reimbursement calculations for facilities to account for geographic diff...

In analyzing the reason for changes in a hospital's Medicare case-mix index over time, the analyst should start with which of the following levels of detail? Account level MS-DRG level MDC level MS-DRG triples, pairs, and singles correct answer: MS-DRG triples, pairs, and singles What is the term that means evaluating the appropriateness of the setting for the healthcare service and the level of service? Coordination of service benefits Community rating Outcomes assessm...

CCS Exam Study Questions with Complete Solutions | 100% Correct malicious software - Answer ️️ -backdoor A female patient is diagnosed with congestive heart failure. Which of the following will increase the MS-DRG weight if present on admission? Atrial fibrillation Stage III pressure ulcer Blood loss anemia Coronary artery disease - Answer ️️ -Stage III pressure ulcer MS-DRG 291 (weight = 01.5010) for congestive heart failure with stage III pressure ulcer would optimize the MS-...

Close the DRG summary and drag the C18.7 down to the second position in the code screen. Which coding message do you receive? (Return the C18.7 code to the primary position after reviewing your answer.) - ️️The DRG may change as a result of reordering. What is the MS-DRG title? - ️️Digestive malignancy W/O CC/MCC Has the DRG assignment changed from the prior case? - ️️Yes The MS-DRG title/assignment would not include the: - ️️Pylorus Code D62. Which of the following is tru...

CCA Exam Domain 2 Look at book on page 14 question 65 Given the following information, which of the following statements is correct? A. In each MS-DRG the geometric mean is lower than the arithmetic mean. b. In each MS-DRG the arithmetic mean is lower than the geometric mean. c. The higher the number of patients in each MS-DRG, the greater the geometric mean for that MS-DRG. d. The geometric means are lower in MS-DRGs that are associated with a CC or MCC. - ANSWER-A The geometric ...

During an audit of health records, the HIM director finds that transcribed reports are being changed by the author up to a week after initial transcription. The director is concerned that changes occurring this long after transcription jeopardize the legal principle that documentation must occur near the time of the event. To remedy this situation, the HIM director should recommend which of the following? - ️️Develop a facility policy that defines the acceptable period of time allowed for a ...

Principal Diagnosis The disease or condition that was present on admission, was the principal reason for admission, and received treatment or evaluation during the hospital stay or visit for the reason established after study to be chiefly responsible for occasioning the admission of the patient to the hospital for care First Listed Diagnosis Used in the outpatient setting, this term is used (instead of the inpatient setting's principal diagnosis), and it is determined in accordance wi...

CCS Exam Study Questions 2023/ 2024 | Questions and Answers (Verified Answers) Q: Assign code(s) for mammographic guidance for bilateral breast needle localization for lesion placement with fine needle aspiration: Answer: 19081-50, Biopsy, breast, with placement of localization device(s) (clip, metallic pellet) when performed, and imaging of biopsy specimen, percutaneous; first lesion incl stereotactic guidance, bilateral procedure 10022-50, Fine needle aspiration, with imaging guida...

AHIMA CCA Exam Prep. || With Questions & Answers (100% Verified) AHIMA CCA Exam Prep. || With Questions & Answers (100% Verified) During an audit of health records, the HIM director finds that transcribed reports are being changed by the author up to a week after initial transcription. The director is concerned that changes occurring this long after transcription jeopardize the legal principle that documentation must occur near the time of the event. To remedy this situation, the HIM directo...

Code range - ️️may consist of PDx, operating room (OR) procedure, or a diagnosis & procedure combination What do MDCs represent? How many categoriea? - ️️Body systems treated by medicine 25 MDCs, which are further divides MDC groups into surgical and medical sections How many MS-DRGs pre-MDCs are there? - ️️15 Computer systems that assign pts to case-mix groups are generically called? - ️️Groupers What is the highest level in the DRG system? - ️️MDCs (Major Diagnostic...